Exam Practice

Question 1

Patient presents with acute bronchitis. What term indicates sudden onset?

Answer 1

Acute

Question 2

Documentation states chronic obstructive pulmonary disease. What does chronic indicate?

Answer 2

Long-term condition

Question 3

Diagnosis notes bilateral otitis media. What does bilateral mean?

Answer 3

Both sides

Question 4

Patient has unilateral shoulder pain. What does unilateral indicate?

Answer 4

One side

Question 5

Provider documents idiopathic neuropathy. What does idiopathic mean?

Answer 5

Unknown cause

Question 6

Condition listed as congenital heart defect. What does congenital indicate?

Answer 6

Present at birth

Question 7

Patient returns for postoperative wound check. What does postoperative mean?

Answer 7

After surgery

Question 8

Diagnosis includes ischemia of lower extremity. What does ischemia indicate?

Answer 8

Inadequate blood supply

Question 9

Record shows embolism of pulmonary artery. What does embolism indicate?

Answer 9

Traveling blood clot

Question 10

Documentation notes carotid artery stenosis. What does stenosis indicate?

Answer 10

Narrowing

Question 11

Diagnosis lists ulceration of gastric lining. What does ulceration indicate?

Answer 11

Open sore

Question 12

Pathology report shows malignant neoplasm. What does malignant mean?

Answer 12

Cancerous

Question 13

Skin lesion described as benign. What does benign mean?

Answer 13

Non-cancerous

Question 14

Patient experiences recurrent urinary tract infections. What does recurrent mean?

Answer 14

Repeated episodes

Question 15

Asthma visit documents acute exacerbation. What does exacerbation indicate?

Answer 15

Worsening

Question 16

Patient treated for sequela of stroke. What does sequela mean?

Answer 16

Condition resulting from previous disease

Question 17

Cancer described as in remission. What does remission indicate?

Answer 17

Reduction or disappearance of symptoms

Question 18

Diagnosis includes tissue necrosis. What does necrosis indicate?

Answer 18

Tissue death

Question 19

Patient diagnosed with sepsis. What does sepsis indicate?

Answer 19

Systemic infection

Question 20

Diagnosis coded as unspecified pain. When is unspecified appropriate?

Answer 20

When documentation lacks detail

Question 21

Procedure described as excisional biopsy. What does excisional indicate?

Answer 21

Complete removal

Question 22

Procedure described as incisional biopsy. What does incisional indicate?

Answer 22

Partial removal

Question 23

Procedure performed laparoscopically. What does laparoscopic indicate?

Answer 23

Minimally invasive abdominal surgery

Question 24

Procedure performed endoscopically. What does endoscopic indicate?

Answer 24

Using a scope internally

Question 25

Catheter inserted percutaneously. What does percutaneous mean?

Answer 25

Through the skin

Question 26

Open reduction of fracture performed. What does reduction indicate?

Answer 26

Return to normal position

Question 27

Internal fixation placed. What does fixation indicate?

Answer 27

Stabilization with hardware

Question 28

Debridement performed on wound. What does debridement mean?

Answer 28

Removal of dead tissue

Question 29

Skin graft placed during surgery. What does graft indicate?

Answer 29

Tissue transplant

Question 30

Implant inserted during procedure. What does implant indicate?

Answer 30

Inserted device

Question 31

Autologous graft used. What does autologous mean?

Answer 31

From the same patient

Question 32

Allogenic tissue used. What does allogenic mean?

Answer 32

From a donor

Question 33

Procedure performed for diagnostic purposes. What does diagnostic indicate?

Answer 33

Identify condition

Question 34

Procedure performed as definitive treatment. What does definitive indicate?

Answer 34

Final corrective treatment

Question 35

Procedure performed prophylactically. What does prophylactic indicate?

Answer 35

Preventive

Question 36

Procedure performed for palliation. What does palliative indicate?

Answer 36

Symptom relief not cure

Question 37

Exploratory laparotomy performed. What does exploratory indicate?

Answer 37

Investigate condition

Question 38

Therapeutic injection administered. What does therapeutic indicate?

Answer 38

Treatment intended to improve or cure

Question 39

Procedure documented as bilateral. What does bilateral affect?

Answer 39

Laterality and possible modifier

Question 40

Procedure performed on contralateral limb. What does contralateral indicate?

Answer 40

Opposite side

Question 41

Diagnosis lists ipsilateral injury. What does ipsilateral indicate?

Answer 41

Same side

Question 42

Record shows acute on chronic heart failure. Which condition is coded first?

Answer 42

Acute

Question 43

ICD-10 code includes placeholder X. What is its purpose?

Answer 43

Maintain code structure

Question 44

CPT code bundled per NCCI edits. What does this prevent?

Answer 44

Unbundling

Question 45

Modifier -59 appended. What does it indicate?

Answer 45

Distinct procedural service

Question 46

Modifier -25 appended to E/M. What does it indicate?

Answer 46

Significant separate E/M service

Question 47

Documentation supports laterality. Why does this matter?

Answer 47

Code specificity

Question 48

Provider documents anemia secondary to CKD. What does secondary indicate?

Answer 48

Cause-and-effect relationship